Condom Use Among Young Women: Modeling the Theory of Gender and Power

Lara Depadilla, Michael Windle, Gina Wingood, Hannah Cooper, Ralph Diclemente

Research output: Contribution to journalArticle

Abstract

Objective: This study sought to articulate pathways between constructs from the theory of gender and power and their associations with sexual behavior. Design: The data were collected preintervention during a randomized controlled HIV prevention trial. Participants were 701 sexually active, unmarried African American females, aged 14-20, who were not pregnant, and were recruited from three health clinics in a southeastern US city. Structural equation modeling was used for the analyses. Main Outcome Measure: Self-reported condom use. Results: Theoretical associations yielded a well-fitting structural model across initial and cross-validation samples. A significant amount of variance was explained for the variables of condom use (R2 = .31, .18), partner communication (R2 = .30, .26), substance use during sex (R2 = .32, .51), and negative personal affect (R2 = .36, .48). Partner communication (.35, .38) was the strongest predictor of condom use, negative personal affect (-41, -37) was the strongest predictor of partner communication, and physical risk (.54, .54) was the strongest predictor of negative personal affect. Conclusion: This model provides evidence to support both direct and indirect associations between social and behavioral risk factors and condom use. Associations between theory of gender and power constructs and condom use can facilitate future development and analyses of interventions based on this theory.

Original languageEnglish (US)
Pages (from-to)310-319
Number of pages10
JournalHealth Psychology
Volume30
Issue number3
DOIs
StatePublished - May 2011

Keywords

  • Adolescent
  • African American
  • Condoms
  • SEM

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

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